Non-Target Analysis Worksheet (Continued)

HACCP Step 1 – Activity Description
Management Objective & Contact Information
HACCP Plan Title
Management Objective: / Contact Person:
Phone:
Email:
Activity Description
i.e. Who; What; Where; When; How; Why
HACCP Step 2 – Activity Flow Chart
Outline Sequential Tasks of Activity
Task 1 / Title:
Description:
Task 2 / Title:
Description:
Task 3 / Title:
Description:
Task 4 / Title:
Description:
Task 5 / Title:
Description:
Task 6 / Title:
Description:
Task 7 / Title:
Description:
Task 8 / Title:
Description:
HACCP Step 3 – Identify Potential Non-Targets
Non-Targets That May Potentially Be Moved/Introduced
Vertebrates:
Invertebrates:
Plants:
Other Organisms (pathogens, parasites, etc.):
HACCP Step 4 – Non-Target Analysis Worksheet
1 / 2 / 3 / 4 / 5 / 6 / 7
Tasks
(From Step 2) / Potential Non-targets
(From Step 3) / Risk Assessment
Are any non-targets significant?
Yes or No / Justification
Justify your answer in Column 3 / Control
What control measures can be applied during this task to reduce the risk of non-targets? / CCP?
Is this task a CCP?
Yes or No / Justification
Justify your answer in Column 6
Task # ___
Title: / Vertebrates
Invertebrates
Plants
Others
Task # ___
Title: / Vertebrates
Invertebrates
Plants
Others

Non-Target Analysis Worksheet (continued)

1 / 2 / 3 / 4 / 5 / 6 / 7
Tasks
(From Step 2) / Potential Non-targets
(From Step 3) / Risk Assessment
Are any non-targets significant?
Yes or No / Justification
Justify your answer in Column 3 / Control
What control measures can be applied during this task to reduce the risk of non-targets? / CCP?
Is this task a CCP?
Yes or No / Justification
Justify your answer in Column 6
Task # ___
Title: / Vertebrates
Invertebrates
Plants
Others
Task # ___
Title: / Vertebrates
Invertebrates
Plants
Others

Each form has room for only four tasks. Please duplicate this page as many times as necessary so that you may include all tasks.

HACCP Step 5 – Non-Target Risk Action Plan (NTRAP)
(Use this form for any "Yes" from Column 6 of HACCP Step 4 - Non-Target Analysis Worksheet)
One page for each Critical Control Point
Mangement Objective
From Step 1
Critical Control Point: Task # / Title:
Significant Non-Target(s)
(Step 4, Column 3)
Control Measure(s)
(Step 4, Column 5)
Precribed ranges, limits, or citeria for control measure(s):
(PRLC)
Monitoring the
Control Measure(s) / Who?
How?
Where?
How often?
Corrective Action(s)
if Control Measures Fail
(or PRLC cannot be met)
Supporting Documents
(For example, Management Plan, Checklist, Decontamination Techniques, SOPs, Scientific Journal Articles, etc.)
Development Team Members
Date Developed: / Date(s) Reviewed:
* all gray fields are required

Each form has room for only one Critical Control Point. Please duplicate this page as many times as necessary so that you may include all CCPs.